Lyme disease is the most common tick-borne illness in the United States, with more than 300,000 cases diagnosed each year. However, doctors are deeply divided on how to diagnose and treat it, giving rise to the controversy known as the “Lyme Wars.” Firmly entrenched camps have emerged, causing physicians, patient communities, and insurance providers to be pitted against one another in a struggle to define Lyme disease and its clinical challenges. Health care providers may not be aware of its diverse manifestations or the limitations of diagnostic tests. Meanwhile, patients have felt dismissed by their doctors and confused by the conflicting opinions and dubious self-help information found online. In this authoritative book, the Columbia University Medical Center physicians Brian A. Fallon and Jennifer Sotsky explain that, despite the vexing “Lyme Wars,” there is cause for both doctors and patients to be optimistic. The past decade’s advances in precision medicine and biotechnology are reshaping our understanding of Lyme disease and accelerating the discovery of new tools to diagnose and treat it, such that the great divide previously separating medical communities is now being bridged. Drawing on both extensive clinical experience and cutting-edge research, Fallon, Sotsky, and their colleagues present these paradigm-shifting breakthroughs in language accessible to both sides. They clearly explain the immunologic, infectious, and neurologic basis of chronic symptoms, the cognitive and psychological impact of the disease, as well as current and emerging diagnostic tests, treatments, and prevention strategies. Written for the educated patient and health care provider seeking to learn more, Conquering Lyme Disease gives an up-to-the-minute overview of the science that is transforming the way we address this complex illness. It argues forcefully that the expanding plague of Lyme and other tick-borne diseases can be confronted successfully and may soon even be reversed.
The context for this interdisciplinary work by a philosopher and a clinician is the psychiatric care provided to those with severe mental disorders. Such a setting makes distinctive moral demands on the very character of the practitioner, it is shown, calling for special virtues and greater virtue than many other practice settings. In a practice so attentive to the patient's self identity, the authors promote a heightened awareness of cultural and particularly gender issues. By elucidating the nature of the moral psychology and character of the good psychiatrist, this work provides a sustained application of virtue theory to clinical practice. With its roots in Aristotelian writing, The Virtuous Psychiatrist presents virtue traits as habits, able to be cultivated and enhanced through training. The book describes these traits, and how they can be habituated in clinical training. A turn towards virtue theory within philosophy during the last several decades has resulted in important research on professional ethics. By approaching the ethics of psychiatric professionals in these virtue terms, Radden and Sadler's work provides an original application of this theorizing to practice. Of interest to both theorists and practitioners, the book explores the tension between the model of enduring character implicit in virtue theory and the segmented personae of role-specific moral responses. Clinical examples are provided, based upon dramaturgical vignettes (caseplays) which illustrate both the interactions of the case participants as well as the inner monologue of the clinician protagonist.
Challenging depression provides an overview of depression for clinicians and reviews the causes, diagnosis and treatment of depression. The authors review medications and treatment protocols as well as explain the different forms of depression.
This book offers specific evidence-based behavioral treatment plans for the most commonly observed symptoms seen in medical and clinical settings. It will address the needs of therapists who work in fast-paced clinics and are often mandated to provide time-limited and effective treatment. Intended for early career clinicians as well as experienced psychotherapists, clear goal-directed protocols are outlined in a specific manner to assist the clinician in treating frequently reported pain complaints, somatic illnesses, anxiety, sleep difficulties, panic, agitation, anger management, and more. A brief review of symptoms is followed by specific cognitive behavioral treatment strategies, quantitative treatment tracking tools, and methods to address obstacles and facilitate progress. This clinician-friendly manual will guide research based interventions and documentation needs, while also showing how the intervention can best be used to avoid common pitfalls in treatment.
THE COMPLETE PSYCHOTHERAPY TREATMENT PLANNER Of Related interest Arthur E. Jongsma, Jr. and L. Mark Peterson This valuable guide provides a thorough introduction to treatment planning and contains all of the necessary elements for developing formal treatment plans. In an easy-reference, prewritten format, this book presents detailed problem definitions, treatment goals, objectives, therapeutic interventions, and DSM-IVTM diagnoses for over thirty common clinical problems. Practitioners in the field will find this book to be a great time-saver and an invaluable reference. 1995 (0-471-11738-2) 176 pp. THERASCRIBETM FOR WINDOWS(r) The Computerized Assistant to Psychotherapy Treatment Planning. Arthur E. Jongsma, Jr., L. Mark Peterson, and Kenneth Jongsma. This revolutionary computerized treatment planning software lets you create detailed, customized treatment plans easily and quickly. Designed for use in both inpatient and outpatient settings, its user-friendly format allows clinicians to easily access a wide variety of behavioral definitions, treatment goals and objectives, therapeutic interventions, and DSM-IV diagnoses from its huge database. Its well-organized reports are designed to meet the requirements of Medicare, HMOs, and other third-party payers, which makes this program an important tool for evaluating and treating mental illness. 1997 (0-471-18415-2) 4 3.5 disks THE COMPLETE GUIDE TO MANAGED BEHAVIORAL HEALTHCARE Edited by Chris E. Stout and Gerald A. Theis Managed care has radically altered the mental health services landscape. This loose-leaf style reference manual, which is updated semiannually, offers in-depth analysis from leading experts of changes in practice management, quality and outcome issues, technology, and automation. It also addresses important legal, regulatory, fiscal, and contractual concerns. Packed with practical tools and useful sample forms, the Guide includes a comprehensive glossary of managed care terms and a complete list of managed care organizations. 1996 (0-471-12586-5) 324 pp. THE MEASUREMENT & MANAGEMENT OF CLINICAL OUTCOMES IN MENTAL HEALTH Once used almost exclusively by psychotherapy researchers, clinical outcomes testing is quickly becoming a standard component of mental health practice. JCAHO has mandated that outcomes must be included in mental health record keeping by the end of the decade, and the six largest managed care firms have announced plans to begin tracking clinical outcomes. While debates over the potential advantages and disadvantages of this move rage on, the fact remains that all clinicians in managed care systems will soon be compelled to incorporate outcomes assessment into their clinical routines. The Measurement and Management of Clinical Outcomes in Mental Health prepares clinicians and administrators for this inevitability. Written by a team of experts with extensive experience in design and implementation, this timely book explores the rationale behind outcomes measurement and offers readers concrete advice and guidelines on conducting accurate and effective outcomes measurement. In the first half of the book, the authors review the conceptual and practical aspects of outcomes management. Among the issues receiving special attention are: the psychometrics of outcomes; measuring patient satisfaction; implementation strategies; the role of consumer characteristics in outcomes management, especially in regard to needs-based planning; case-mix adjustment strategies; and barriers to implementation and strategies for overcoming them. The second half of the book is devoted entirely to detailed case examples. Over the course of five chapters, the authors vividly illustrate their approaches to outcomes management in five different specialty areas—outpatient psychotherapy, acute psychiatric services, community services, child and adolescent services, and substance-abuse treatment services. The first comprehensive guide to designing and implementing outcomes evaluation systems, The Measurement and Management of Clinical Outcomes in Mental Health is an important resource for all mental health practitioners as well as mental health and managed care administrators.
The Psychological Benefits of Exercise and Physical Activity explores the psychological outcomes that are known to be affected by physical activity behaviors, including depression, anxiety, cognitive performance, self-esteem, pain, and sleep.
With How Children Develop, students get an up-to-date, topically-organized introduction to child development, presented by researchers and teachers who themselves are guiding the field into new directions. The authors emphasize fundamental principles, enduring themes, and important recent studies, avoiding excessive detail and making typically difficult topics easier to grasp. This thoroughly updated edition welcomes new co-author Jenny Saffran, and is accompanied by an expanded media package.
Lyme disease is the most common tick-borne illness in the United States, with more than 300,000 cases diagnosed each year. However, doctors are deeply divided on how to diagnose and treat it, giving rise to the controversy known as the “Lyme Wars.” Firmly entrenched camps have emerged, causing physicians, patient communities, and insurance providers to be pitted against one another in a struggle to define Lyme disease and its clinical challenges. Health care providers may not be aware of its diverse manifestations or the limitations of diagnostic tests. Meanwhile, patients have felt dismissed by their doctors and confused by the conflicting opinions and dubious self-help information found online. In this authoritative book, the Columbia University Medical Center physicians Brian A. Fallon and Jennifer Sotsky explain that, despite the vexing “Lyme Wars,” there is cause for both doctors and patients to be optimistic. The past decade’s advances in precision medicine and biotechnology are reshaping our understanding of Lyme disease and accelerating the discovery of new tools to diagnose and treat it, such that the great divide previously separating medical communities is now being bridged. Drawing on both extensive clinical experience and cutting-edge research, Fallon, Sotsky, and their colleagues present these paradigm-shifting breakthroughs in language accessible to both sides. They clearly explain the immunologic, infectious, and neurologic basis of chronic symptoms, the cognitive and psychological impact of the disease, as well as current and emerging diagnostic tests, treatments, and prevention strategies. Written for the educated patient and health care provider seeking to learn more, Conquering Lyme Disease gives an up-to-the-minute overview of the science that is transforming the way we address this complex illness. It argues forcefully that the expanding plague of Lyme and other tick-borne diseases can be confronted successfully and may soon even be reversed.
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